Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.05 / $4,759.38 / $8,563.23	Facility		$1,227.05	$4,759.38	$8,563.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.85 / $1,227.05 / $1,227.05	Professional		$691.85	$1,227.05	$1,227.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $2,142.11 / $6,200.51	Facility		$1,370.64	$2,142.11	$6,200.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $789.74 / $1,174.83 / $1,853.63	Professional		$789.74	$1,174.83	$1,853.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.58 / $2,672.74 / $3,370.63	Facility		$1,357.58	$2,672.74	$3,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.02 / $1,500.02 / $1,875.02	Professional		$1,500.02	$1,500.02	$1,875.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $1,827.52	Facility		$1,305.36	$1,305.36	$1,827.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,958.05 / $3,589.77	Facility		$1,305.36	$1,958.05	$3,589.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.56 / $1,370.64 / $1,853.63	Professional		$1,109.56	$1,370.64	$1,853.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $2,142.11 / $3,589.77	Facility		$1,370.64	$2,142.11	$3,589.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $979.03 / $1,305.36 / $3,522.74	Professional		$979.03	$1,305.36	$3,522.74
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $1,462.01	Professional		$548.26	$548.26	$1,462.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $587.41 / $587.41 / $676.18	Professional		$587.41	$587.41	$676.18